The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study
The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study
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DOI：
10.1097/00004583-199607000-00012
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发表时间：
1996-07-01
影响因子：
13.3
通讯作者：
Regier, DA
中科院分区：
文献类型：
--
作者：
Shaffer, D;Fisher, P;Regier, DA
目的：描述NIMH儿童诊断访谈计划（DISC）2.3版，并提供儿童和青少年精神障碍流行病学方法（MECA）研究中有关其性能特征的数据。方法：在DISC-2.3上收集了4个地点的1,285名随机选择的9至17岁儿童及其父母的数据。1 - 3周后，由临床医生访谈者在DISC-2.3上对这些儿童-父母对中的247对进行了重新评估。结果：给药时间约为1小时，90%以上的受试者接受访谈。父母评估损伤和发病年龄的问题的可靠性一般是好的，以接受大多数诊断，但不太令人满意的儿童访谈。使用父母和孩子的信息，任何诊断的患病率范围从50.6（如果不需要损害标准）到5.4（如果需要总体评估量表评分为50或更低）。焦虑症和无尿症的患病率明显降低，要求归因损害。结论：DISC-2是一种可靠、经济的儿童精神病理学评估工具。DISC-P-2.3在大多数诊断中的可靠性上级儿童DISC，但在焦虑症中的可靠性最差。该仪器的2.3版本比以前的版本有了重大改进。
Objective: To describe the NIMH Diagnostic Interview Schedule for Children (DISC) Version 2.3 and to provide data on its performance characteristics in the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Method: Data were collected on the DISC-2.3 at four sites on 1,285 randomly selected children, aged 9 through 17 years, and their parents. Two hundred forty-seven of these child-parent pairs were reassessed on the DISC-2.3 by a clinician interviewer, 1 to 3 weeks later. Results: Administration time was approximately 1 hour and the interview was acceptable to more than 90% of subjects. The reliability of questions to parents assessing impairment and age of onset was generally good to acceptable for most diagnoses but was less satisfactory for the child interview. Using information from parent and child, the prevalence for any diagnosis ranged from 50.6 if no impairment criteria were required to 5.4 if a Global Assessment Scale score of 50 or less was necessary. The prevalence of anxiety disorders and anuresis was markedly reduced by requiring attributable impairment. Conclusions: The DISC-2 is a reliable and economical tool for assessing child psychopathology. Reliability of the DISC-P-2.3 is superior to that of the child DISC for most diagnoses but is least good for anxiety disorders. The 2.3 version of the instrument provides a significant improvement over earlier versions.